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Radiographic Diagnosis of Diffuse Small Intestinal Diseases―Comparison between barium meal study and double contrast study T. Fuchigami 1 1The Second Department of Internal Medicine, Faculty of Medicine Kyushu University pp.885-895
Published Date 1982/8/25
DOI https://doi.org/10.11477/mf.1403108858
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 In normal persons the lumen of the small intestine is stretched by air on double contrast study as compared with that on barium meal study. In view of such pliability of the small intestine, the radiographic characteristics of diffuse small intestinal diseases were studied. The number of the patients studied were seven ; one with acute regional enteritis, one with immuno-proliferative small intestinal disease (IPSID), three with amyloidosis, one with malignant lymphoma of the small intestine, and one with progressive systemic sclerosis (PSS). To know the pliability of the lumen, width of the folds, intravalvular distance and caliber of the lumen were measured in both double contrast study and barium meal study. The results were as follows.

 1) The patients with acute regional enteritis and IPSID showed almost normal pliability in both longitudinal and vertical directions.

 2) The patients with amyloidosis showed variable pliability.

 3) The patient with malignant lymphoma showed impaired pliability in both longitudinal and vertical directions.

 4) The patient with PSS showed no pliability in longitudinal direction and hyperpliability in vertical direction.

 In summary it is considered that comparison of width of the folds, intravalvular distance and caliber of the lumen between double contrast study and barium meal study enables to anticipate, to some extent, the histopathological features of the diseased intestine and that it may be helpful to the differential diagnosis of these diseases.


Copyright © 1982, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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